San Angelo Dental , PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29714 Issued in TX

Legal business name

SAN ANGELO DENTAL , PLLC

Doing business as

San Angelo Dental

Practice address

614 29TH Street
Suite
Sanangelo, TX 76903

Phone

(347) 326-3341

NPI assigned

May 6, 2015

Last updated

May 6, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Seema Sharma, DDSNPI 1053748244

Title

Owner /Dentist

Phone

(347) 326-3341

Specialties & licenses 1

Addresses

Other names 1

• San Angelo Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seema Sharma, DDS

  • General Practice Dentistry
  • New Brunswick, NJ
  • NPI 1053748244
  Authorized official Same address or phone
• Thanuja Kularatne, DDS

  • General Practice Dentistry
  • San Angelo, TX
  • NPI 1912358151
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1821475161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 29TH WEST STREET",
            "address_2": "SUITE 106",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "347-326-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 29TH STREET",
            "address_2": "SUITE",
            "city": "SANANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "347-326-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANGELO DENTAL , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "OWNER /DENTIST",
        "authorized_official_telephone_number": "347-326-3341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Angelo Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel J. Kasberg, M.D., P.a.
• San Angelo AIDS Foundation
• San Angelo Ambulatory Surgery Center
• San Angelo Autism Center, PLLC (San Angelo Autism Center)
• San Angelo Cardiovascular Center of Excellence, PLLC
• San Angelo Emergency Medicine Associates PA
• San Angelo Emergency Physicians
• San Angelo Endodontics, PC (Concho Valley Endodontics)
• San Angelo ER LLC (Concho Valley ER)
• San Angelo Health Care, LLC (Professional Medical)

• General Practice Dentistry in San Angelo, TX
• Providers in San Angelo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.